Kaitlyn Anderson

Primary specialty

OptometristTaxonomy code 152W00000X

License

3538 Issued in MN

Practice address

8081 Wedgewood LN N
Maple Grove, MN 55369-9412

Phone

(763) 416-3795

NPI assigned

Oct 27, 2017

Last updated

Oct 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI, NH, NY4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Optometry

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment NPD
• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment NPD
• Wisconsin Vision, LLC

  dba Heartland Vision

  • Optometrist
  • New Berlin, WI
  • NPI 1134179427
  Medicare reassignment NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Austin, MN
  • NPI 1881962173
  Medicare reassignment
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Shorewood, WI
  • NPI 1154699445
  Medicare reassignment
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Concord, NH
  • NPI 1174482194
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Plaistow, NH
  • NPI 1477218782
  NPD
• Shoptikal LLC

  dba Fielmann Vision Care 4313

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Shoptikal LLC

  dba Shopko Optical 4028

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1982260352

  Optometrist

  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Brookfield, WI
  • NPI 1457890220
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1811409089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 BRYANT AVE S APT 327",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 WEDGEWOOD LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699412",
            "telephone_number": "763-416-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Anderson
• Jack David Anderson
• Jennifer Anderson, LMFT
• Jordan Lillian Anderson, PA-C
• Joy Nieves Anderson, RD
• Kellan J Anderson
• Lora Lee Anderson, LPT
• Morgan Renae Anderson
• Rachael Teresa Anderson, RN, APRN
• Vandi Jo Anderson, PHARMD

• Optometrist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.